Amanda Gallagher, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00385000 Issued in NJ

Practice address

1700 Route 23 Ste 160
Wayne, NJ 07470-7513

Phone

(973) 944-0226

NPI assigned

May 17, 2022

Last updated

May 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Jersey Foot and Ankle Specialists LLCGroup PAC ID 5991969230, 2 clinicians

Kenneth Donovan DPM LLCGroup PAC ID 0446411086, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Barnabas Health Home Care and Hospice Home health agency, West Orange, NJ, CCN 317061
• Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
• Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kenneth Donovan DPM LLC

  dba Advanced Care Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Warren, NJ
  • NPI 1417229493
  Medicare reassignment Care Compare group NPD
• New Jersey Foot and Ankle Specialists LLC

  • Foot & Ankle Surgery Podiatrist
  • Wayne, NJ
  • NPI 1508130873
  Medicare reassignment Care Compare group NPD
• Toms River Podiatrist

  • Foot & Ankle Surgery Podiatrist
  • Toms River, NJ
  • NPI 1629732086
  NPD
• James F. Donovan

  • Podiatrist
  • Toms River, NJ
  • NPI 1710349196
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Hospital Corp.

  dba Chilton Medical Center

  • General Acute Care Hospital
  • Pompton Plains, NJ
  • NPI 1811994809
  Care Compare affiliation
• Cooperman Barnabas Medical Center Inc

  • General Acute Care Hospital
  • Livingston, NJ
  • NPI 1396857488
  Care Compare affiliation
• Vna Health Group of New Jersey, LLC

  dba Barnabas Health Home Care and Hospice

  • Home Health Agency
  • West Orange, NJ
  • NPI 1841302254
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748131200000",
    "number": "1255078713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 COUNTRYSIDE DR",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202030",
            "telephone_number": "908-917-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ROUTE 23 STE 160",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707513",
            "telephone_number": "973-944-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2025-05-25",
        "certification_date": "2025-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00385000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Fryczynski
• Maria Cristina Fuentes
• Functionpro Rehab Services LLC
• Rosemary Furtek, M.A., C.C.C.
• Peter Gad, PHARMD
• Ganchi Plastic Surgery Center LLC
• Ganchi Plastic Surgery PA
• Parham Amir Ganchi, PHD, MD
• Joseph Gani
• Erica L. Garbarini, PT

• Foot & Ankle Surgery Podiatrist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.